Emergency Medical Services (EMS) and First Aid Guide, Study Guides, Projects, Research of Medicine

Covers essential first aid and EMS protocols, including patient assessment, airway management, bleeding control, and injury stabilization. Addresses legal aspects, communication, and considerations for diverse populations, including those with visual or hearing impairments. Provides a comprehensive overview of basic life support and emergency response, emphasizing safety and effective communication. A valuable resource for first responders, EMTs, and healthcare professionals. Covers shock, spinal injuries, bleeding, open neck injuries, chest injuries, pregnancy complications, heart attacks, diabetic emergencies, and seizures.

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Florida Basic Recruit High Liability Chapter 2: First Aid
1. EMS System (Emergency Medical Services System): A network of trained
professionals linked to provide advanced out-of-hospital care for victims of
sudden traumatic injuries or illness.
2. USDOT: Sets the standard for the EMS System, even though each state
regulates its own EMS.
3. Paramedics & Emergency Medical Technicians(EMT): Examples of
advanced, specialized responders who can provide more comprehensive care
than criminal justice officers.
4. Criminal Justice First Aid Provider Levels of Training: Airway
Care Patient Assessment
CPR
Bleeding Control
Stabilization of Injuries to the Spine and
Extremities Care for Medical and Trauma
Emergencies
Use of Limited Amount of Equipment
Assistance to other EMS Providers
CANNOT Administer Medications
5. EMS Levels of Training: First Responder: Airway Care with use of
Adjunctive Equipment
Patient
Assessment CPR
Bleeding Control
Stabilization of Injuries to the Spine and
Extremities Care for Medical and Trauma
Emergencies
Use of Limited Amount of Equipment
Assistance to other EMS Providers
Other Skills or Procedures as Local or State Regulations Permit
6. EMS Levels of Training: EMT - Basic: Perform all Techniques of a First
Aid Provider and a First Responder
Perform Complex Immobilization Procedures
Restrains Patients
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Florida Basic Recruit High Liability Chapter 2: First Aid

  1. EMS System (Emergency Medical Services System): A network of trained professionals linked to provide advanced out-of-hospital care for victims of sudden traumatic injuries or illness.
  2. USDOT: Sets the standard for the EMS System, even though each state regulates its own EMS.
  3. Paramedics & Emergency Medical Technicians(EMT): Examples of advanced, specialized responders who can provide more comprehensive care than criminal justice officers.
  4. Criminal Justice First Aid Provider Levels of Training: Airway Care Patient Assessment CPR Bleeding Control Stabilization of Injuries to the Spine and Extremities Care for Medical and Trauma Emergencies Use of Limited Amount of Equipment Assistance to other EMS Providers CANNOT Administer Medications
  5. EMS Levels of Training: First Responder: Airway Care with use of Adjunctive Equipment Patient Assessment CPR Bleeding Control Stabilization of Injuries to the Spine and Extremities Care for Medical and Trauma Emergencies Use of Limited Amount of Equipment Assistance to other EMS Providers Other Skills or Procedures as Local or State Regulations Permit
  6. EMS Levels of Training: EMT - Basic: Perform all Techniques of a First Aid Provider and a First Responder Perform Complex Immobilization Procedures Restrains Patients

Staffs and Drives Ambulance

  1. EMS Levels of Training: EMT - Paramedic: Perform all Functions of First Re- sponder and EMT - Basic Administers Medications Performs Advanced Techniques, including Cardiac Monitoring
  2. CJ First Aid Provider Responsibilities: Protect the Safety of YOU, the Patient, and Bystanders Gain Access to the Patient Determine Life-Threatening Emergencies (ABCs) Maintain Composure Keep your Appearance Neat, Clean & Professional Maintain a Caring Attitude Alert EMS Provide Care Based on Your Assessment Assist EMS Personnel Keep Your Skills Current Participate in Record Keeping Act as a Liaison with other Public Safety Personnel
  3. ABCs: Airway, Breathing & Circulation
  4. Ethical Responsibilities: Make the patient's physical and emotional needs a priority. Respect their needs without regard to nationality, race, gender or age. Practice your skills. Continue your education. Uphold professional standards. Show respect for the competence of others in the medical field. Maintain patient confidentiality. Work in accord with other medical professionals.
  5. Duty to Act: "A duty to take some action to prevent harm to another and for the failure of which one may be liable depending on the relationship of the parties and the circumstances."
  6. Breach of Duty: Occurs when you either fail to act or act inappropriately.
  7. Standard or Scope of Care: Care that you are expected to provide to the same patient under the same conditions as would any criminal justice first
  1. Negligence Occurs if what Conditions are Present?: Duty To Act-You were supposed to be there. Breach of Standard of Care-What you did was wrong. Causation-What you did caused the injury. Damages-The patient suffered an injury; the injury is additional to the original injury.
  2. Battery: The use of force against another resulting in harmful or offensive contact; an intentional and offensive touching of another without lawful justification. "Unlawful physical contact"
  3. Consent: "Agreement, approval, or permission as to some act of purpose, especially given voluntarily by a competent person"
  4. Expressed Consent: Consent that is clearly and unmistakably stated
  5. Implied Consent: Consent inferred from one's conduct rather than from one's direct expression. You may assume that the unresponsive patient is at risk of death, disability, or deterioration of condition and would agree to care if able to consent. May also apply to conscious patients who do not stop you from providing treatment, refuse care, and then become unresponsive and are not competent to refuse care.
  6. Informed Consent: A person's agreement to allow something to happen made with full knowledge of the risks involved and the alternatives
  7. In Florida what age is a Minor defined as?: Under age 18.
  8. DNR/DNRO (Do Not Resuscitate Order): documents a terminally or chronically ill patient's wish to refuse resuscitation.
  9. Advanced Directive: documents the patient's request to withhold specific med- ical care.
  10. Medic Alert: an identification bracelet or necklace or a card carried in a patient's wallet that alerts you to a specific medical condition such as an allergy, epilepsy, or diabetes.
  11. HIPAA: Protects the rights of patients and the release of patient information.
  12. What is always your first concern?: Your own personal Safety!
  13. When does the patient become the priority?: When the scene is safe.
  14. What kind of care should you provide?: The best you can with your abilities and within the scope of your training.
  1. Effective Communication Skills: Help you obtain needed information and give reassurances to patients, their families & bystanders.
  2. Confident Manner: "characterized by assurance. full of conviction." & "charac- teristic or customary mode of acting, custom...a mode or procedure or way of acting."
  3. Empathy: one of the most helpful tools you can use to deal with a crisis.

transmission of human immunodeficiency virus (HIV), hepatitis B virus, and other bloodborne pathogens to first aid or health care providers.

  1. Body Substance Isolation (BSI): Using a form of infection control with all patients.
  2. Personal Protective Equipment (PPE): Includes eye protection, gloves, pro- tective clothing (i.e., gown or coveralls, sleeves, shoe covers), masks or shields, and biohazard bags.
  3. When should you wash your hands to help reduce risk?: After removing gloves or other PPE, before eating, drinking, smoking, or applying cosmetics, after using the restroom, after contact with blood or body fluids, and at the end of your shift.
  4. Methicillin-Resistant Staphylococcus Aureus (MRSA): A type of bacteria that is highly contagious and resistant to certain antibiotics.
  5. Hepatitis A: Not a bloodborne disease, it is found in food and waste. Generally transmitted through fecal contamination and oral ingestion.
  6. Hepatitis B: Usually contracted through sexual contact or contaminated nee- dles. Symptoms range from minor flu-like symptoms to severe liver damage and even death. Other symptoms include weakness, various muscle and joint pains, dark urine, diarrhea, weight loss, and an enlarged and tender liver.
  7. Hepatitis C: The most common chronic bloodborne infection in the United States. Transmitted through direct contact with infected blood, usually through a contaminated sharp objects. Approximately 1/3 of inmates have it. Symptoms range from minor flu-like symptoms to severe liver damage and even death.
  8. Human Immunodeficiency Virus (HIV): A bloodborne virus that attacks the im- mune system. Transmission occurs primarily during sexual contact with an infected individual, when intravenous drug abusers share contaminated needles, from an infected mother to her unborn child, and from contact with blood, certain body fluids, and tissue from an infected individual.
  9. Airborne Infection: Any infection spread from person to person through the air.
  1. 6 Main Components of Skeletal System: 1. Skull
  2. Jawbone
  3. Shoulder Girdle
  4. Chest
  5. Spinal Column
  6. Pelvis
  7. Muscular System: Gives the body shape, protects internal organs, and pro- vides body movement.
  8. 3 Types of Muscles: 1. Voluntary
  9. Involuntary
  10. Cardiac
  11. Nervous System: Controls voluntary and involuntary body activity. It also sup- ports higher mental functions, such as thought and emotion.
  12. 2 Main System of Nervous System: 1. Central Nervous System (Brain & Spinal Cord)
  13. Peripheral Nervous System (Nerves)
  14. Respiratory System: Delivers oxygen to and removes carbon dioxide from the blood.
  15. 5 Components of Respiratory System: Nose Mouth Throat Voice box Windpip e
  16. Circulatory System: Pumps blood throughout the body.
  17. Main parts of Circulatory System: Heart Veins Arteries Capillaries Blood
  18. carotid: major artery in the neck, felt on either side of the neck
  19. femoral: major artery in the thigh, felt in the groin area
  20. radial: major artery in the lower arm, felt at the thumb side of the wrist
  21. brachial: major artery in the upper arm, felt on the inside of the upper arm
  22. digestive system: two main functions: ingesting and digesting food

and nutrients.

  1. digestive system organs: include the stomach, pancreas, liver, gallbladder, and small and large intestines.
  2. endocrine system: regulates body systems by secreting hormones directly into the bloodstream from glands.
  1. Normal Pulse Rate for Infant: 120-160 per minute
  2. Pulse "Rhythm": the interval between beats. Potentially Regular or Irregular
  3. Pulse "Force": Strength of the Pulse. Potentially Bounding(strong) or Weak
  1. Pale Skin Indicates: possible shock or heart attack, fright, impaired blood flow
  2. Red (flush) Skin Indicates: alcohol presence, heat stroke, fever, sunburn, high blood pressure, infection, or physical exertion
  3. Blue (cyanosis) Skin Indicates: reduced oxygen level, possibly due to shock, heart attack, or poisoning. Look for changes in circulation in the color of lips, palms, and nail beds. Look inside the eyelid of a dark-skinned patient.
  4. Yellow (jaundice) Skin Indicates: liver problems
  5. Moist Skin Indicates: heart attack or possible shock
  6. Dry Skin Indicates: heat stroke or diabetic emergency
  7. DOTS: Deformities Open Injuries Tenderness Swelling
  8. Spinal Injury Symptoms: • constant or intermittent pain or tenderness in the spinal column
  • weakness in the legs with or without movement
  • respiratory distress (Constantly monitor the patient's airway and breathing.)
  • injury to the head, neck, shoulders, back, and abdomen
  • tingling, numbness, loss of sensation in upper or lower extremities
  • obvious deformity of the spine (rarely seen)
  • loss of bladder or bowel control
  • persistent erection in males
  1. Steps to Protect Spine if Spinal Injury is Suspected: 1. Size up the scene and perform an initial assessment.
  2. Stabilize the patient's head and neck.
  3. Conduct physical assessment.
  4. Keep the patient in position until EMS completely immobilizes the patient.
  5. Spinal Immobilization: 1. Kneel at the patient's head.
  6. Place your palms on either side of the patient's head below the ears.
  7. Hold the patient's head in the position you found it.
  8. If the patient is not breathing, use the jaw thrust to open the airway to initiate rescue breathing.
  9. You must keep the patient in position until EMS completely immobilizes the patient.

your thumbs as you lift the jaw. If the lips close, push the lower lip open with your thumb.

  1. Use a lifting motion to move the jaw forward with both hands. This pulls the tongue away from the back of the throat.
  2. You must keep the patient in position until EMS completely immobilizes the patient.
  3. SAMPLE: Signs & Symptoms Allergies Medications Past History Last Oral Intake Events
  4. Ongoing Assessment: ABCs, Treat For Shock
  5. Questions EMS may Ask: • "How many patients are there?"
  • "Where are they?"
  • "Who are the high priority patients?"
  • "What treatment did you render?"
  1. Emergency Move: A relocation performed when a patient is in immediate danger or when a patient's location prevents providing care to them or access to other patients
  2. Recovery Position: A position where the patient is rolled over (preferably on their LEFT side) with knees slightly bent. This helps maintain an open airway if the patient becomes nauseated or vomits and may prevent positional asphyxia.
  3. Positional Asphyxia: term used to describe the placement of a body in a position that interferes with the ability to breathe.
  4. Steps in a WALKING ASSIST: 1. Stand next to the patient on the same side as the injury.
  5. Place the patient's arm across your shoulder.
  6. Place your arm around the patient's waist. Grab his or her belt, if necessary.
  7. Assist the patient to a safe or comfortable location and discourage the patient from placing body weight on the injury.
  8. Emergency Drag: Used when a patient is on the floor, and emergency

circum- stances require them to be moved.

  1. Clothes Drag: 1. If the patient is unconscious, secure his or her hands to protect them during the move.
  2. Stand at the patient's head.
  1. Extend your arms, and create back support for the patient.
  1. Grasp the wrists of the officer facing you.
  2. Extend your arms, and create a seat for the patient.
  3. Bend your knees.
  4. Instruct the patient to raise his or her arms.
  5. Scoop the patient up from behind his or her knees.
  6. Tell the patient to place his or her arms on your shoulders.
  7. Lift from your legs using proper body mechanics.
  8. Move the patient, keeping step with the other officer.
  9. Logroll: 1. Perform a logroll on the floor or ground with at least three officers on their knees.
  10. Officer one, constantly maintain head, neck, and spinal stabilization.
  11. Officer two, take your position at the patient's shoulder and hip. Stay far enough away from the side of patient's body so there is room to roll the patient toward you.
  12. Officer three, take your position on the same side of the patient as officer two. Stand at the patient's thigh and lower leg. Stay far enough away from the side of patient's body so there is room to roll the patient toward you.
  13. Officer two, reach across the patient. Place your hand on the patient's shoulder. Place your other hand on the patient's hip.
  14. Officer three, reach across the patient. Place your hand closer to the second officer's hand on the patient's hip. Place your other hand on the outside of the patient's knee area.
  15. Officer one, issue all commands to roll the patient toward officers two and three. Simultaneously maintain the patient's head, neck, and cervical spine alignment.
  16. Assess the patient for injuries.
  17. If applicable, reverse the process to return the patient to his or her original position.
  18. Multiple Casualty Incidents (MCI): Incidents that involve more than one vic- tim.
  19. Triage: term given to sorting and classifying patients.
  20. Simple Triage and Rapid